监督注射地点客户的特征和需要过量干预的相关因素,加拿大蒙特利尔,2018-2022年
Camille Zolopa1, Thomas D Brothers2, Pascale Leclerc3
1Centre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), 900 rue St-Denis, Montréal, Québec H2X 0A9, Canada.
The International journal on drug policy
|January 22, 2025
概括
监督注射地点 (SIS) 对过量注射的干预与跨性别身份,年轻年龄和公共注射有关. 稳定的住房和参加多个地点减少了过量剂量干预风险.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 减少伤害 减少伤害
背景情况:
- 监督注射地点 (SIS) 是解决过量疫情的关键降低危害的服务.
- 了解需要SIS干预的过量服用相关因素对于有针对性的支持至关重要.
研究的目的:
- 确定在加拿大蒙特利尔监督注射地点 (SIS) 需要紧急响应的现场过量剂量的预测因素.
主要方法:
- 来自四个蒙特利尔SIS (2018年3月 - 2022年10月) 的行政数据的分析.
- 后勤回归用概括估计方程来评估过量干预和客户人口统计,药物使用和服务利用之间的关联.
- 检查的因素包括性别认同,年龄,药物类型,注射地点,频率,持续时间,住房稳定性和多个地点的出席.
主要成果:
- 需要干预的过量服用率为每1000次访问8.16.
- 跨性别客户和25岁以下的客户面临更高的风险.
- 在公共场所注射增加了风险,而稳定的住房和参加多次SIS降低了风险.
- 注射频率低于每日,注射时间较短 (<1年),以及在2020年3月之后注射与过量干预风险增加有关.
结论:
- 监督注射场所服务于具有不同过量风险的多样化人口.
- 过量干预的预测因素包括跨性别身份,年龄较小,公共注射地点,注射频率较低,注射时间较短和单一地点的出席.
- 稳定的住房和多个地点的出席是防止过量干预的保护因素.
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